View report page

77
Scarlet Fever.— The 180 cases, admitted to hospital during
1931 were distributed among the following age groups:—
Under 1 yr. 1—5. 5—15. 15—25. 25—35. 35—45. Over 45.
1 35 109 23 9 2 1
One death occurred during the year, as follows: —
A boy, 1 year 10 months, admitted on the day of appearance of the rash,
with a history of enteritis for three days. He was an obvious case of septic
Scarlet Fever, and died on the 18th day from Septicaemia, the blood culture
showing Haemolytic Streptococcus Type III.
The following table shows the percentage death-rate of cases of
scarlet fever admitted to the Ilford Isolation Hospital during the
past five years compared with the death-rate in the Institutions of
the London County Council :—
1927. 1928. 1929. 1930. 1931.
Ilford .6 .5 .3 1.05 .5
L.C.C. .6 .63 .60 .73 not available.
Complications present on admission:— Percentage.
Meningitis 1 5
Otorrhoea 1 "5
Adenitis (abscess developed)1 -5
Albuminuria 1 '5
Surgical Scarlet Fever (after
operation, 1; after burns, 2) 3 1-6
Erysipelas (abscess) 1 -5
Complication developing after admission:— Percentage.
Otorrhoea 9 5.0
Adenitis 4 2.2
Relapse 2 1.1
Rhinitis 2 1.1
Empyema 1 .5
Septicaemia 1 .5
Onychia 1 .5
Two cases admitted with scarlet fever were found to be also
suffering from diphtheria.
* In one of these cases the solution used for the Dick Test was
unsatisfactory. A subsequent test with another solution showed
that the child was susceptible to Scarlet Fever. If this had been
known previously she would have been removed from the ward and
the relapse would not have occurred.
In the second case the Dick Tests on the 12th and 19th days
were negative, on the 26th day was pseudo-negative, and on the
33rd day was Dick positive. The child was then removed to the
Isolation Ward, but too late to prevent a relapse.